關於 tongue inflammation ，我們在網路上蒐集到這些相關的討論、資訊與評價

請不要隨便親吻別人的孩子！

快過年了，過年期間帶孩子回家團圓的時候人多口雜（是這樣用的嗎？😆），長輩們看孩子可愛常常手來嘴也來。遇到這樣的情況我都一定嚴格制止！雖然對長輩不好意思，但顧好孩子是我們的責任。

這是醫學權威期刊NEJM二月份最新的案例分享。

照片中是一位一歲大小女孩的手。她之前都很健康，但這四天來開始出現高燒不退、牙齦腫脹發炎、舌頭潰瘍以及左手中指發紅腫脹。

看似不相干的幾個症狀，實際上都是皰疹病毒感染（HSV1)所引起，小孩致病的原因之一就是大人的親吻。

口腔有皰疹潰瘍的大人，若親吻小孩，容易把病毒傳給小孩，造成小朋友皰疹性齒齦炎。若小朋友又把手放到嘴裡吸吮，就可能把皰疹病毒帶到手指造成感染，也就會像這張圖片一樣又紅又腫（herpetic whitlow)。

嬰兒和幼童的抵抗力弱，請大人不要輕易親吻別人的小孩（尤其我們可能不知道自己已經有皰疹病毒感染），造成小朋友的傷害。

https://www.facebook.com/TheNewEnglandJournalofMedicine/posts/10155629671953462

A previously healthy 1-year-old girl was admitted to the hospital with a 4-day history of high fever accompanied by erythema and swelling of the left third finger, gingival inflammation, and tongue ulcerations. What is the likely diagnosis? http://nej.md/206y4a1

【川崎症 - 燒壞兒童心臟的殺手】

This disease had killed young children in Singapore.

Yesterday was the first time I had heard of the Kawasaki disease 川崎症 from a new client.

A Japanese doctor, Dr Tomisaku Kawasaki, first saw this in a 4-year old child in January 1961. He didn't know what was wrong and found no reference in the medical literature.

A year later, he saw the same disease in another child. That was his Eureka moment. It was an illness that did not exist in any medical textbook.

While a doctor brushed off Dr Kawasaki's hypothesis as "this may be just a scarlet fever", he persisted and eventually got this disease recognized in Japan in 1967, some 6 years later.

It is a disease that mainly affects children under 5 years old of all races and all continents. The blood vessels in the body gets inflamed and the child starts having a fever that can't be brought down with just aspirin. Usually it gets mistaken as "the usual viral fever".

Recently in Singapore, a pediatrician got suspended for misdiagnosing a 1-year old at Gleneagles Hospital. She failed to conduct the tests to confirm or rule out Kawasaki Disease, even though she thought of it. She continued treating it as a viral fever.

Other symptoms like strawberry tongue, swollen lymph nodes, red eyes, peeling skin, rashes in the groin, hands and feet and swollen red lips may start appearing in varying degrees.

It requires a echocardiogram to see if the child has heart problems and inflammation of coronary artieries, which supply blood to the heart muscles.

The first 10 days are critical for effective treatment. Miss this golden period and...

What is the worse that can happen?

Your young child can die from a heart attack. Happened in Singapore.

There are many young parents among my friends here. So I am writing this to spread awareness.

Over 6000 research papers have been written on the Kawasaki disease but no one could find the cause or etiology for this disease. So there is no vaccine or any way to prevent a child from contracting it. It is usually curable when detected early. Most children recover with no serious problems.

When my client shared with me what happened to her child, I immediately knew the Bazi and Feng Shui factors, that could lead up to a disease like this.

There are about 200 cases of Kawasaki Disease in Singapore a year.

50 years since its discovery, it still gets grossly misdiagnosed despite so many medical advancements.

The more we know about this disease, the more we can prevent other children and parents from suffering.

On a side note, remember to buy hospitalisation insurance for your children and do not hesitate to bring your child to the hospital or seek a second opinion, when the "normal" fever refuses to go away. Trust your parental instinct. Aspirin doesn't cure everything.

Photo credit: Intech

【川崎症 - 燒壞兒童心臟的殺手】

This disease had killed young children in Singapore.

Yesterday was the first time I had heard of the Kawasaki disease 川崎症 from a new client.

A Japanese doctor, Dr Tomisaku Kawasaki, first saw this in a 4-year old child in January 1961. He didn't know what was wrong and found no reference in the medical literature.

A year later, he saw the same disease in another child. That was his Eureka moment. It was an illness that did not exist in any medical textbook.

While a doctor brushed off Dr Kawasaki's hypothesis as "this may be just a scarlet fever", he persisted and eventually got this disease recognized in Japan in 1967, some 6 years later.

It is a disease that mainly affects children under 5 years old of all races and all continents. The blood vessels in the body gets inflamed and the child starts having a fever that can't be brought down with just aspirin. Usually it gets mistaken as "the usual viral fever".

Recently in Singapore, a pediatrician got suspended for misdiagnosing a 1-year old at Gleneagles Hospital. She failed to conduct the tests to confirm or rule out Kawasaki Disease, even though she thought of it. She continued treating it as a viral fever.

Other symptoms like strawberry tongue, swollen lymph nodes, red eyes, peeling skin, rashes in the groin, hands and feet and swollen red lips may start appearing in varying degrees.

It requires a echocardiogram to see if the child has heart problems and inflammation of coronary artieries, which supply blood to the heart muscles.

The first 10 days are critical for effective treatment. Miss this golden period and...

What is the worse that can happen?

Your young child can die from a heart attack. Happened in Singapore.

There are many young parents among my friends here. So I am writing this to spread awareness.

Over 6000 research papers have been written on the Kawasaki disease but no one could find the cause or etiology for this disease. So there is no vaccine or any way to prevent a child from contracting it. It is usually curable when detected early. Most children recover with no serious problems.

When my client shared with me what happened to her child, I immediately knew the Bazi and Feng Shui factors, that could lead up to a disease like this.

There are about 200 cases of Kawasaki Disease in Singapore a year.

50 years since its discovery, it still gets grossly misdiagnosed despite so many medical advancements.

The more we know about this disease, the more we can prevent other children and parents from suffering.

On a side note, remember to buy hospitalisation insurance for your children and do not hesitate to bring your child to the hospital or seek a second opinion, when the "normal" fever refuses to go away. Trust your parental instinct. Aspirin doesn't cure everything.

Photo credit: Intech